Effectively manage your periodontal

patients with patient-preferred,

minimally invasive therapy.

REPAIR Perio™ was developed to provide clinicians a

scientifically advanced treatment option for managing

periodontally compromised patients. Utilizing the

Waterlase and patented Radial Firing Perio Tip™

(RFPT), REPAIR Perio provides a safe, effective laser

treatment protocol that patients accept.

A Minimally Invasive Protocol for

Optimal Periodontal Patient Management

Minimally invasive protocol

Treat site specific or full mouth cases for greater flexibility in treatment planning

Supported by clinical evidence and scientific research

Versatile YSGG laser ideal for comprehensive clinical use

Cleared for gentle removal of subgingival calculus

Promotes cementum-mediated periodontal ligament

new-attachment to the root surface in the absence of

long junctional epithelium

Tip: RFTP5 Power: 1.5W Air/Water: 40%/50% Pulse rate: 30 Hz H mode

Tip: RFTP5 Power: 1.5W Air/Water: 40%/50% Pulse rate: 30 Hz H mode

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OUTER POCKET DE-EPITHELIALIZATION Outer pocket gingival epithelium is removed from the free gingival margin down to a width at least equal to the pocket depth.

GINGIVECTOMY (AS NEEDED)A gingivectomy should only be performed if pseudo-pocketing is present.

Ensure you do not compromise adequate attached gingiva.

REPAIR Perio is the first definitive step-by-step protocol for using an Er,Cr:YSGG laser to assist in the management of early, moderate and severe chronic periodontitis. It consists of three phases: pre-surgical, surgical and post-surgical.

PHASE I: PRE-SURGICAL PHASEAll patients should have a comprehensive periodontal examination/evaluation including data collection of periodontal charting and radiographs, medical and dental history and risk assessment.

Phase I treatment is implemented for removal of supra- and subgingival biofilm and calculus through scaling and root planing (S/RP) and the initiation and evaluation of oral hygiene compliance. Occlusal assessment and treatment may be warranted in this phase. Splinting of teeth may be an option.

PHASE II: SURGICAL PHASEPhase II surgical treatment plan is developed based on the re-evaluation of periodontal inflammation and oral hygiene compliance. The surgical plan can be for a single tooth or multiple teeth sites, a quadrant or half-mouth depending on number of indicated sites. If desired, the half-mouth protocol is generally UR/LR followed by at least 2-3 weeks of post-operative management before treating the UL/LL areas.

Pre-set Settings

888.424.6527 • +1 949.361.1200 • biolase.com

WATERLASE ® ER,CR:YSGG PERIODONTITIS REGIMEN

Tip: RFPT5 Power: 1.5W Air/Water: 40%/50% Pulse rate: 30 Hz H Mode

Laser not used

Tip: MZ6 Power: 2.5W Air/Water: 70% / 80% Pulse rate: 30 Hz H mode

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3DE-EPITHELIALIZATION AND RETRACTIONThe pocket epithelium should be removed and should be completed apically, down to bone. The gingival margin can be retracted as a mini flap for access.

SCALING AND ROOT PLANINGConventional treatment with ultrasonics and hand instruments to remove root surface accretions and/or calculus and to smooth cementum.

SULCULAR DEBRIDEMENT / DEGRANULATIONRemove smear layer created by scaling, along with any residual calculus, and prepare the root surface for reattachment. Remove pocket lining and degranulate to expose bone surface.

BONE DECORTICATIONRecontour osseous defects. Hold tip parallel to root surface and gently tap all the way down to and into bone, retracting slightly and repeating all the way around tooth. If necessary, change angle of the laser tip and treat into the walls of infrabony defects.

FINAL SULCULAR DEBRIDEMENTRemove residual debris and induce blood coagulation.

COMPRESS WITH 2X2 GAUZECompress surgical site with wet 2x2 gauze for 3-5 minutes.

WATERLASE PERIO REGIMEN CONTINUED

Tip: RFPT5 Power: 1.5W Air/Water: 40% / 50% Pulse rate: 30 Hz H mode

PHASE III: POST-SURGICAL PHASE • IMMEDIATE POST-OPERATIVE: Brush teeth lightly with soft brush and use mouth rinse to supplement brushing if discomfort exists.

• ONE WEEK AFTER LASER TREATMENT: Gently clean between teeth using an interproximal brush dipped in mouthwash.

• NO PROBING for at least 3 months, at which time a supragingival scaling is completed.

Tip: RFPT5 Power: 1.5W Air/Water: 10% / 10% Pulse rate: 30 Hz H mode

Increase pulse rate to 75 Hz for faster calculus removal.

“Waterlase REPAIR is a highly effective,

more aesthetic and more comfortable

alternative to traditional surgical

procedures for my patients.”

— Dr. Bret Dyer Sugarland, TX

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Courtesy of Dr. Rana Al-Falaki

Courtesy of Dr. Todd Jorgenson

Courtesy of Dr. Bret Dyer

BEFORE

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CASE 3

CASE 1

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6 MONTHS POST

M Gupta, AK Lamba, M Verma, et al. “Comparison of periodontal open flap debridement versus closed debridement with Er,Cr:YSGG laser.” Australian Dental Journal 2013; 58: 41-49 doi: 10.1111/adj.12021

Dederich 2013. “Periodontal Bone Regeneration and the Er,Cr:YSGG Laser: A Case Report.” The Open Dentistry Journal, 2013, 7, 16-19

Dyer, B, and E C Sung. “Periodontal Treatment using the Er, Cr : YSGG Laser.” Lasers in Surgery and Medicine: 1442. Hakki, Sema S et al. 2010. “Comparison of Er,Cr:YSGG laser and hand instrumentation on the attachment of periodontal ligament fibroblasts to periodontally diseased root surfaces: an in vitro study.” Journal of periodontology 81(8): 1216-25. http://www.ncbi.nlm.nih.gov/pubmed/20476883

Kelbauskiene, Solveiga et al. 2011. “One-year clinical results of Er,Cr:YSGG laser application in addition to scaling and root planing in patients with early to moderate periodontitis.” Lasers in medical science 26(4): 445-52. http://www.ncbi.nlm.nih.gov/pubmed/20549280 Kelbauskiene, Solveiga, and Vita Maciulskiene. 2007. “A pilot study of Er,Cr:YSGG laser therapy used as an adjunct to scaling and root planing in patients with early and moderate periodontitis.” Stomatologija / issued by public institution “Odontologijos studija” ... [et al.] 9(1): 21-6. http://www.ncbi.nlm.nih.gov/pubmed/17449974. Ting, Chun-Chan et al. 2007. “Effects of Er,Cr:YSGG laser irradiation on the root surface: morphologic analysis and efficiency of calculus removal.” Journal of periodontology 78(11): 2156-64. http://www.ncbi.nlm.nih.gov/pubmed/17970683

Arnabat-Domínguez, Josep et al. 2010. “Advantages and esthetic results of erbium, chromium:yttrium-scandium-gallium-garnet laser application in second-stage implant surgery in patients with insufficient gingival attachment: a report of three cases.” Lasers in medical science 25(3): 459-64. http://www.ncbi.nlm.nih.gov/pubmed/19756837

Walsh, Laurence. 2010. “Maximising gingival aesthetics using lasers.” Australasian Dental Practice (August): 48-51. René Franzen, Marcella Esteves-Oliveira, Jörg Meister, Anja Wallerang, Leon Vanweersch, Friedrich Lampert and Norbert Gutknecht “Decontamination of deep dentin by means of erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation” Lasers in Medical Science Volume 24, Number 1, 75-80, DOI: 10.1007/s10103-007-0522-2

Clinical Evidence

Scan the QR code for links to clinical articles

4 Cromwell, Irvine, CA 92618 888.424.6527 • +1 949.361.1200 • biolase.com

1 Centers for Disease Control and Prevention

©2017 BIOLASE, Inc. All rights resereved. 17-1093

Almost Half of Adults Have Periodontal Disease1

30%MODERATE

PERIODONTITIS

MILD PERIODONTITIS

9%

SEVERE PERIODONTITIS

9%

Finding new ways to better manage the moderate periodontitis patients you see today can lead to better overall patient care — and a more sustainable practice.

A Better Way to Manage Moderate Periodontitis

�� NEW Waterlase Express gives you the ability to perform the minimally invasive REPAIR Perio™ procedure.

�� REPAIR Perio is an easy to learn, minimally invasive, flapless procedure that provides better results with minimal recession and faster healing than traditional methods.

�� Generate immediate, positive monthly cash flows by performing just one or two procedures a month with the patients you see today.